Spondylitis includes swelling of the vertebra. It happens because of wear and tear of the ligament and bones found in your cervical spine, which is in your neck. While it is to a great extent because of age, it can be brought on by other reasons too. Side effects incorporate pain and stiffness starting from the neck to the lower back. The spine's bones (vertebrae) get fused, bringing about an unbending spine. These changes might be mellow or extreme, and may prompt a stooped-over posture. Some of the non-surgical methods to treat spondylitis are as follows-

Exercise based recovery/physiotherapy: Your specialist may send you to a physiotherapist for treatment. Non-intrusive treatment helps you extend your neck and shoulder muscles. This makes them more grounded and at last, relieves pain. You may neck traction, which includes using weights to build the space between the cervical joints and decreasing pressure on the cervical disc and nerve roots.
Medications: Your specialist may prescribe you certain medicines if over-the-counter medications do not work. These include:
Muscle relaxants, for example, cyclobenzaprine, to treat muscle fits
Opiates, for example, hydrocodone, for pain relief
Epileptic medications, for example, gabapentin, to ease pain created by nerve damage
Steroid infusions, for example, prednisone, to decrease tissue irritation and diminish pain
Home treatment: In case your condition is less severe, you can attempt a couple of things at home to treat it:
Take an over-the-counter pain reliever, for example, acetaminophen or a calming medication, for example, Advil or Aleve.
Use a warming cushion or an ice pack on your neck to give pain alleviation to sore muscles.
Exercise routinely to help you recover quickly.
Wear a delicate neck prop or neckline to get transitory help. In any case, you shouldn't wear a neck brace for temporary pain relief.
Acupuncture: Acupuncture is a highly effective treatment used to mitigate back and neck pain. Little needles, about the extent of a human hair, are embedded into particular points on the back. Every needle might be whirled electrically or warmed to improve the impact of the treatment. Acupuncture works by prompting the body to deliver chemicals that decrease pain.
Bed Rest: Severe instances of spondylitis may require bed rest for close to 1-3 days. Long-term bed rest is avoided as it puts the patient at danger for profound vein thrombosis (DVT, blood clots in the legs).
Support/brace use: Temporary bracing (1 week) may help get rid of the symptoms, however, long-term use is not encouraged. Supports worn for a long time weaken the spinal muscles and can increase pain if not continually worn. Exercise based recovery is more beneficial as it reinforces the muscles.
Lifestyle: Losing weight and eating nutritious food with consistent workouts can help. Quitting smoking is essential healthy habits to help the spine function properly at any age.

Spondylitis - Can Non Surgical Methods Help You?

Vitamins are essential micronutrients which the body requires, though in small amounts, for optimal health. These chemicals play a crucial role in keeping our body healthy and disease free.One such vitamin is vitamin K, which is essential for optimal blood clotting process, and also has multiple other benefits. More details about the functions, benefits and sources are listed below.

Functions/Benefits:

Vitamin K is actually a group of vitamins and has K1, K2, and K3. The functions and benefits accordingly will depend on the actual chemical being referred to.
These are fat soluble vitamins and therefore absorption is better when something fatty is eaten along with it
Vitamin K1 or phyloquilline reaches the liver and is essential for blood clotting. Reduced levels of vitamin K can lead to uncontrolled bleeding, but this is very rare in adults. Newborns can have this problem, and therefore, it is common to give them a one shot of vitamin K injection.
Vitamin K2 is produced by gut bacteria and reaches blood vessel walls and bones. It prevents hardening and calcification of arteries, which is the main cause of heart disease.
It helps in improving calcium and other mineral concentration in the bones and makes the matrix strong. It can be used in osteoporosis to reverse and control bone loss. It can also be used to heal fractured bones.
It slows the growth of cancer cells and can be used to stabilise cancer. It has been shown to improve multiple forms including hepatocellular, prostate, colon, and oral cancer.
It is beneficial in controlling Alzheimer s disease and improves memory loss in ageing people
It improves insulin action and therefore prolongs onset of type 2 diabetes
It has been shown to have antioxidant properties (as most other vitamins) and also helps in reducing toxin buildup
It is good for skin health and can help control bruising and dermatitis
Sources:
Vitamin K is found naturally in many foods and the daily dose required for an adult is about 120 to 150 mcg/day. Therefore supplementation is usually not required.
Leafy green vegetables including spinach, okra, cabbage, beans broccoli, and asparagus

Fermented foods like yoghurt
Soybean in all forms including medium cooked as well and Japanese diet uses boiled, fermented soybean called natto, which contains tremendous amount of vitamin K
Nuts, such as cashews, almonds, walnuts, are a good source
Strawberries, grapes, prunes, and apples 
Seafood such as salmon and shrimp contain good amount to control heart attack and stroke.
Meat (duck, beef, chicken, and lamb)
Supplements are to be avoided, especially in pregnant and/or nursing mothers and people with a history of stroke, heart disease, heart attack and blood clotting problems.

Vitamin K - Facts You Never Knew About It!

HIV or the human immunodeficiency virus is a retroviral agent that causes the immune system of the body to weaken and lead to cause the acquired immune deficiency syndrome (AIDS). It is now treatable. Research is being conducted all over the world to formulate a targeted drug therapy for combating this life-threatening disease. No vaccine is available, which renders the world population highly susceptible to contract the infection.

HIV infection spreads from an infected person through contact with certain bodily fluids like blood and semen. Spread from one human being to another is called as transmission of HIV. Mother to child transmission, i.e. perinatal transmission is also common. Healthcare and hospital staff are at a great risk of occupational transmission. Other causes of transmission include sharing intravenous drug equipment, needle prick injury, organ transplantation and artificial insemination. Since vaccination and targeted drug therapy for remission are not available, prevention strategies play an important role in curbing the spread of infection.

A three-level prevention strategy is implemented for HIV infection.

Primary prevention- Activities that focus on prevention of uninfected people being infected.
Secondary prevention- Aimed at the provision of proper health care and behavioral facilities for HIV infected people like lifestyle changes, welfare rights advice, anti-discrimination measures.
Tertiary prevention- Aimed at minimizing the symptoms of an infected person; includes the provision of prophylactic drugs and complementary therapies.
The risk avoidance approach for transmission of HIV infection includes certain measures like practicing mutual monogamy & delayed sexual activity in the young population. Safe and appropriate use of syringes and needles is advised. Unnecessary blood transfusions should be completely avoided. Routine screening of HIV antibody should be done.

Risk reduction approach propagates the mandatory use of condoms during sexual intercourse. Sexually transmitted diseases should be treated to avoid the risk of transmitting infection. Sterile syringes should be used. If blood transfusion is necessary, then blood transfused should be evaluated well to meet the quality standards.

If HIV infection is suspected, anti-retroviral drug therapy should be started.
The only universally approved method of HIV transmission during sexual activity is the use of condoms.
Pharmaceutical methods for prevention and treatment include antibiotic drug therapy for sexually transmitted diseases, anti-retroviral drugs for infected individuals, pre and post-exposure prophylaxis and use of low space dead syringes.
Pre-exposure prophylaxis is advised for people who are at a higher than average risk of contracting the infection.
Drug therapy consisting of a combination of Tenofovir and Emtricitabine is prescribed, one per day.
Visit the physician at regular intervals and routine screening is done. Post-exposure prophylaxis is considered to be effective if the treatment is started within an hour of exposure, to effectively reduce the risk of seroconversion. A drug combination of Emtricitabine, Tenofovir and Raltegravir is given.
Social initiatives are undertaken to spread awareness and educate people regarding AIDS. Behavioral change and acceptance of social message is necessary to benefit from the social initiatives. Sex education, LGBT sex education and awareness, safe injection use programs, needle exchange programs, safe sex practice education are some social strategies implemented.
Prevention of transmission of HIV from mothers to children involves anti-retroviral drug therapy during pregnancy and post birth in the newborn child. Breastfeeding is avoided and bottle feeding is advised.

HIV Transmission - How Can It Be Prevented?

Allergies in simple terms can be explained as increased sensitivity towards certain food items, objects and weather. Allergies can be caused in an individual due to various reasons. The primary sources of allergens are pollen, dusts and dirt, which can cause breathing troubles, asthma and headaches.

Allergies in any form are of two distinct types. First, they are seasonal. It has been noticed that in most cases, one gets an allergy when there is a season change. This is a type of seasonal allergy. Second is the perennial form of allergy wherein an individual gets an allergy from a particular allergy-causing substance all year around. Such allergies include food allergies, dust allergies, skin allergies and the like.

Symptoms

There are certain common symptoms whenever a person catches allergies. These would include itching on several parts of the body including hands, eyes, neck and legs. It would also cause the area to flare up. The skin becomes reddish in colour, owing to the allergy itself and due to the constant itching because of the irritation. Apart from these, water can flow from the eyes or one may experience short of breath quite often. Also, certain allergies are accompanied by asthma.

Diagnosis

The most basic test which is carried out, even while treating allergies through homeopathy, is a blood test. A blood test has the ability to determine whether you are suffering from an allergy or not. It would also help you to figure out the substance that is causing the allergy and at what stage it currently is. This helps in administering the correct medicines so that the allergy is cured fast.

If eczema is suspected, then the doctor advises for a skin patch test to be conducted to know more in detail about the skin condition.

Skin prick test is also carried out at times when needed. Here, a needle pricks the skin with a known allergen. If the skin does not react, then it is a negative test; but if it reacts, then it is a positive test, indicating allergy.

Treatment

There are several homeopathic medicines, which help in curing common and uncommon allergic reactions. Some of the popularly prescribed ones include the following:

Histamine for those allergic to dust and string perfumes

Sepia for those who are completely or partially lactose intolerant

Nux Vom for those who are allergic to coffee

Nitri-spiritus dulcis for those who are allergic to cheese

Sulphur for those allergic to antibiotics or drugs of any form

Thus, these are some of the common treatments homeopathy prescribes in order to get quick relief from allergies.

Homeopathic Treatment For Allergies

For someone suffering from Tinnitus, a perpetual sense of ringing in the ears is the main complaint. It s annoying, to say the least. But more importantly, it is a sign of hearing loss. This is why people need to see an audiologist if he/she has a sense of tinnitus for some time. An audiologist can treat this problem in different ways.

Diagnosis

The first step in treating tinnitus like any other disease involves determining the cause. The doctor may perform different tests such as-Hearing:

Hearing exam

During this test, one needs to sit in a soundproof room and wear earphones. Specific sounds will be played into the ears, one at a time, through these earphones. People have to indicate when they hear different intensities of sound. The results are compared with empirical results for comparable age. This helps the audiologist identify possible or rule out specific causes.

Movement

One may need to clench the jaw, move the eyes or neck, or even move the arms and legs as part of the test. If tinnitus symptoms get better or worse at any of these postures, the audiologist can identify the underlying disorder.

Imaging Tests

The doctor may suggest an MRI or CT depending on his suspicions.

TreatmentRetraining

 Treatment involves identifying an underlying problem, if any. If the tinnitus symptoms are due to some health conditions, the audiologist may take the following steps:

Clearing the Earwax

Impacted earwax can cause a variety of problems, including tinnitus symptoms. An audiologist can remove the ear wax.

Treating Vascular Conditions

Underlying vascular problems that require surgery or any other treatment may treat the condition.

Changing Medication

Tinnitus can also be a side effect of medication. If the doctor suspects that he may recommend reducing or stopping the drug completely. He may also recommend a different medication.

Noise Suppression

If there is no underlying health condition or medication responsible for tinnitus, the doctor may take recourse to noise suppression.  The patient may need to wear an electronic noise suppression device. These devices include:

White Noise Devices

These machines produce simulated sounds such as those of ocean waves, falling rain etc. This is often found to be effective in treating tinnitus. He may also recommend using pillow speakers, fans, dehumidifiers, air conditioners and humidifiers to suppress internal noise at night.

Hearing Aids

If a hearing problem is associated with tinnitus, the audiologist may prescribe hearing aid.

Masking Devices

Such devices mask the internal sounds of tinnitus and are worn in the ear in a similar fashion as hearing aids.

Retraining

This device delivers programmed music to mask the sound of tinnitus. This technique usually helps the patient get accustomed to the sound of tinnitus.

 Depending on diagnosis and findings, audiologists may also recommend medicines. Audiologists use medicines usually for severe tinnitus only, since these may have side effects. It may also help reduce symptoms.



 Tinnitus - How Can Audiologist Treat It?

Did you know that Thalassemia is a common blood disorder in India, that?s passed through families (just the way it was passed to Abhishek Bachchan because megastar Amitabh Bachchan is a carrier). It is characterized by excessive destruction of red blood cells or genetic mutation, leading to anaemia. Today is World Thalassemia Day, lets understand about the disease.

Thalassemia can be classified into alpha and beta, depending on the globin genes that are affected.

1. Thalassemia Minor - Usually doesn?t have any symptoms, except for minor anaemia.

2. Beta Thalassemia - Has two serious types.

2.A) Thalassemia Major: This type usually happens before a child?s second birthday and requires regular blood transfusions. The condition is life-threatening. Symptoms include anaemia, fussiness, frequent infections, paleness of the skin, poor appetite, enlarged organs and jaundice.

2.B) Thalassemia Intermedia: It is a less severe form and doesn?t require blood transfusions. The symptoms include anemia, jaundice, extremely large spleen and malnourishment.

3. Alpha Thalassemia: Only in rare cases this severe form of Thalassemia may be present. Known as Hydrops Fetalis, this condition usually occurs before birth and children are either stillborn or die soon afterwards.

How to live with Thalassemia:

Take steps to be as healthy as possible. Follow a balanced diet eating plan as per the recommendation of your doctor. Take iron supplement only if prescribed. It is recommended that patients get themselves vaccinated whenever needed, especially if their spleen has been removed. Meanwhile, always be on a lookout for the signs of infections (such as fever) and lower your risk of infections. Thalassemia can spark fear, anxiety, depression and stress. That?s why, doctors recommend that patients receive adequate emotional support.

Treatment:

The treatments depend on the kind of Thalassemia an individual has. Usually, treatment procedures include blood transfusions, bone marrow transplants, removal of spleen or gallbladder specific medications and supplements.

If you have any more questions on this topic, click on consult privately to ask me.

From Lybrate: If you found this tip useful, please thank the doctor by clicking on the heart icon below. Also, spread good health by sharing this tip with your loved ones over WhatsApp, Facebook and other media.

Read Dr. Jatin Soni's Health Tip on The Occasion of World Thalassemia Day

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